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Right-Ventricular Pacing Catheterization

Leonard M. Birch, MD
JAMA. 1972;220(3):419. doi:10.1001/jama.1972.03200030077030.
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To the Editor.—  In answer to a question concerning the method of inserting a right-ventricular pacing catheter in a patient with acute myocardial infarction and complete heart block (219:766, 1972), Dr. Samet responded by minimizing the usefulness of the "combined central venous pressure monitoring-pacing electrode catheter."I feel that the usefulness of this means of pacing should be emphasized. It has adequately been proven1 that bedside pacing via insertion of an "Elecath" through the subclavian vein is a safe, rapid, reliable, and relatively simple method and can be performed by any physician who is able to insert a central venous pressure catheter and can interpret an intracardiac electrogram. The catheter used has good mobility and, if necessary, can be visualized on fluoroscopy but in most cases, fluoroscopy is not necessary. It is a method which can be utilized in large centers but even more importantly can easily be


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